Non-Surgical and Rehabilitative Interventions in Patients with Frozen Shoulder: Umbrella Review of Systematic Reviews

Sire, Alessandro de; Agostini, Francesco; Bernetti, Andrea; Mangone, Massimiliano; Ruggiero, Marco; Dinatale, Stefano; Chiappetta, Alessandro; Paoloni, Marco; Ammendolia, Antonio; Paolucci, Teresa

doi:10.2147/jpr.s371513

Cited by 8 publications

(6 citation statements)

References 46 publications

(221 reference statements)

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“…Incidence increases linearly with age starting from the third decade, and by the eighth decade, it affects about 50% of the general population [ 1 , 2 ]. The procedure of choice for management of rotator cuff tears, often following the failure of conservative treatment, is arthroscopic repair or mini-open repair [ 3 , 4 , 5 , 6 , 7 ]. An increase in indications for surgery in the United States and an increased incidence of the procedure world-wide have been reported [ 8 , 9 , 10 ].…”

Section: Introductionmentioning

confidence: 99%

Anxiety, Depression, and Quality of Sleep Vary in Their Correlation to Postoperative Outcomes of Rotator Cuff Repair: A Prospective Study

Longo,

Marino,

Candela

et al. 2024

JCM

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Background/Objectives: Recent studies imply that psychological factors and sleep quality play a role in the outcomes of surgical procedures, including in orthopedic surgery. The aim of the present study is to evaluate possible correlations between preoperative depression, anxiety, and quality of sleep and functional 6-month postoperative scores in patients having undergone rotator cuff repair (RCR). Methods: All patients included in the study performed the Hospital Anxiety and Depression Scale (HADS) and Pittsburgh Sleep Quality Index (PSQI) questionnaires preoperatively and 36-item Short-Form Health Survey (SF-36), Oxford Shoulder Score (OSS), Shoulder Pain and Disability Index (SPADI), and PSQI questionnaires at the six-month postoperative follow-up. A total of 47 patients were included in the analysis. Results: Statistically significant differences between preoperative anxious and not-anxious groups were found in the postoperative SF-36 Physical Component Summary (PCS) and Mental Component Summary (MCS) scores and PSQI score. The correlation of the preoperative depression score to postoperative outcome measures revealed a strong positive correlation between the preoperative HADS-D score and the 6-month PCS, MCS, and OSS scores. The correlation of preoperative sleep quality to postoperative outcome measures revealed a strong positive correlation between the preoperative PSQI score and 6-month MCS score. Conclusions: Anxious patients had worse postoperative RCR outcomes. Depression may be influenced by factors related to RC pathology; however, there were no statistically significant correlations. Sleep quality generally improves postoperatively, and no significant association was found between bad preoperative sleepers and worse outcomes.

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Section: Introductionmentioning

confidence: 99%

Anxiety, Depression, and Quality of Sleep Vary in Their Correlation to Postoperative Outcomes of Rotator Cuff Repair: A Prospective Study

Longo,

Marino,

Candela

et al. 2024

JCM

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“…They were unable to find any individual non-surgical method superior to any other one. 7 A PRIMSA systematic review and metaanalysis of randomized controlled trials evaluated the difference in efficacy of steroids vs physiotherapy for patients of adhesive capsulitis. It was revealed that both the options were equally effective in management of adhesive capsulitis but still heterogeneity of results in their analysis was slight hindrance in generalization of results.…”

Section: Introductionmentioning

confidence: 99%

Comparison of Corticosteroids vs Conventional Physical Therapy for Management of Adhesive Capsulitis

Khan,

. Adnan Anwar,

Zardad

et al. 2023

PJMHS

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Objective: To compare the role of corticosteroids and conventional physical therapy for management of adhesive capsulitis Methodology: This comparative study was conducted in Orthopedic Department, Combined Military Hospital Abbottabad. March 2022 to February 2023. Patient of active adhesive capsulitis of shoulder joint diagnosed by orthopedic surgeon were recruited. Patients in group A received single shot of methylprednisolone with local anesthesia with in the joint cavity while group B received conventional physical therapy at rehab department of our hospital. Pain scores via visual analogue scale and range of motion via goniometer was compared in both groups at baseline and at 8 weeks of treatment. Results: A total of 160 patients of adhesive capsulitis were recruited. Mean age was 42.55±10.96 years. 70 (43.7%) patients were female while 90 (56.3%) were male. Baseline pain scores and range of motion parameters were not statistically significant between the two comparison groups. At the end of 8 weeks mean pain scores were statistically significantly low in patients who took intra-articular corticosteroids as compared to those who underwent physiotherapy sessions (p-value<0.001). Range of motion parameters were also statistically significantly better in patients who took corticosteroids as compared to those who underwent physiotherapy (p-value<0.001). Conclusion: Use of corticosteroids emerged as a better option for treatment of pain and restricted range of motion in patients of adhesive capsulitis when compared to routine physiotherapy offered in our clinical settings. Keywords: Adhesive Capsulitis; Corticosteroids; Efficacy; Physiotherapy

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“…Зокрема згадується ризик упередженості, надмірну неоднорідність досліджень, відсутність інформації про фазу захворювання, різна тривалість ФТ та кількість занять. Звертається увага на те, що терміни проведення терапії в конкретні моменти прогресу захворювання є важливим питанням для майбутніх досліджень [33].…”

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Physical Therapy in the Treatment of Adhesive Capsulitis of the Shoulder Joint

Rusanov¹,

Vitomskyi²

2022

Ukr. ž. med. bìol. sportu

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The purpose of the study was to perform an analysis of the results of research devoted to the study of the effectiveness of physical therapy in the treatment of patients with adhesive capsulitis of the shoulder joint. Materials and methods. This study is the result of an analysis of research devoted to the study of the effect of physical therapy on shoulder range of motion, pain on the visual analog scale, shoulder pain and disability index, Oxford shoulder scale, work capacity in patients with adhesive capsulitis of the shoulder joint, as well as a comparison of effectiveness of physical therapy with other methods of treatment. Results and discussion. There are works which indicate a lack of certainty regarding the superiority of certain treatment methods over others. Systematic reviews identified large gaps in the evidence and indicated the need for high quality research. At the same time, manipulation under anesthesia and arthroscopic capsular release are increasingly used to promote faster recovery, despite the lack of reliable evidence. The analysis of literature sources allowed us to establish that therapeutic exercises and manual therapy are recommended to be used separately or as a supplement to intra-articular injection of glucocorticosteroids, manipulations under anesthesia or arthroscopic capsular release. There are results that indicate a lack of effectiveness in terms of shoulder pain or work capacity from adding manipulation under anesthesia to physical therapy; indicate аn equal effectiveness of manipulation under anesthesia, therapeutic exercises, and structured physical therapy on pain, disability, and function assessments. A large study of the clinical and cost-effectiveness of invasive and expensive surgery and early structured physical therapy found no advantage for either approach during 12 months from the start of treatment, provided all patients received steroid injection. Regarding the comparison of physical therapy with steroid injections, there is evidence of benefit from the use of injections alone or in combination with physical therapy in the short term. However, there are results regarding their equal effectiveness. At the same time, all the considered works indicated the same effect in the long term. Conclusion. The use of physical therapy in the treatment of patients with adhesive capsulitis of the shoulder joint is useful and effective. Physical therapy has no worse effectiveness than surgical interventions and steroid injections. Adding steroid injections to physical therapy may improve the short-term effectiveness of treatment. The conclusions of the vast majority of studies confirm the effectiveness of physical therapy, which should be taken into account when determining treatment tactics

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Non-Surgical and Rehabilitative Interventions in Patients with Frozen Shoulder: Umbrella Review of Systematic Reviews

Cited by 8 publications

References 46 publications

Anxiety, Depression, and Quality of Sleep Vary in Their Correlation to Postoperative Outcomes of Rotator Cuff Repair: A Prospective Study

Anxiety, Depression, and Quality of Sleep Vary in Their Correlation to Postoperative Outcomes of Rotator Cuff Repair: A Prospective Study

Comparison of Corticosteroids vs Conventional Physical Therapy for Management of Adhesive Capsulitis

Physical Therapy in the Treatment of Adhesive Capsulitis of the Shoulder Joint

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